Self-care training and informational support of patients
with a mechanical heart valve on the international
normalized ratio and bleeding complications

Shirdel Zandi; Behzad Imani; Safarpour Gholamreza

doi:10.5114/kitp.2021.107468

Abstract

2/2021 vol. 18

Original paper

Self-care training and informational support of patients with a mechanical heart valve on the international normalized ratio and bleeding complications

Shirdel Zandi ¹

,

Behzad Imani ²

,

Safarpour Gholamreza ³

MS Student, Department of Operating Room, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Operating Room, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Heart Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran

Kardiochirurgia i Torakochirurgia Polska 2021; 18 (2): 80-86

DOI: https://doi.org/10.5114/kitp.2021.107468

Online publish date: 2021/07/05

View full text

AMA

Zandi S, Imani B, Gholamreza S. Self-care training and informational support of patients with a mechanical heart valve on the international normalized ratio and bleeding complications. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2021;18(2):80-86. doi:10.5114/kitp.2021.107468.

APA

Zandi, S., Imani, B., & Gholamreza, S. (2021). Self-care training and informational support of patients with a mechanical heart valve on the international normalized ratio and bleeding complications. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 18(2), 80-86. https://doi.org/10.5114/kitp.2021.107468

Chicago

Zandi, Shirdel, Behzad Imani, and Safarpour Gholamreza. 2021. "Self-care training and informational support of patients with a mechanical heart valve on the international normalized ratio and bleeding complications". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 18 (2): 80-86. doi:10.5114/kitp.2021.107468.

Harvard

Zandi, S., Imani, B., and Gholamreza, S. (2021). Self-care training and informational support of patients with a mechanical heart valve on the international normalized ratio and bleeding complications. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 18(2), pp.80-86. https://doi.org/10.5114/kitp.2021.107468

MLA

Zandi, Shirdel et al. "Self-care training and informational support of patients with a mechanical heart valve on the international normalized ratio and bleeding complications." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 18, no. 2, 2021, pp. 80-86. doi:10.5114/kitp.2021.107468.

Vancouver

Zandi S, Imani B, Gholamreza S. Self-care training and informational support of patients with a mechanical heart valve on the international normalized ratio and bleeding complications. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2021;18(2):80-86. doi:10.5114/kitp.2021.107468.

Introduction

The aim of the study was to determine the effect of self-care training and informational support of patients with a mechanical heart valve on the international normalized ratio (INR) and bleeding complications.

Material and methods

Design: A quasi-experimental study. Participants were recruited via convenience sampling and were randomly divided into two groups: control (n = 80) and intervention (n = 80). Participants in the control group received only routine training; in addition, the intervention group received 6 sessions of self-care training and 6 months of informational support. Monthly the level of INR and incidence of bleeding were determined. Data were analyzed using the independent t-test and c2 in SPSS16 software at a significance level of 0.05.

Results

During 6 months of follow-up, except for the third month, the frequency of INR levels in the therapeutic target range (2.5–3.5) in the intervention group was significantly higher than that in the control group (p < 0.05). Also in the intervention group, the incidence of bleeding complications was lower than that in the control group, but this difference was not statistically significant (p > 0.05).

Conclusions

Proper self-care training and informational support in patients with mechanical heart valve replacement have positive results. By maintaining self-care, the level of a therapeutic target range of INR can be maintained and the incidence of bleeding complications can be reduced.